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UBLICOORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />mate Applied: 10/30/2017 <br />Public Works Permit #: PW1710-045 <br />Parent Permit #: <br />Planning Reference #: <br />Public Works Fee: $115 <br />12 DEC 2'011 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />EVERETT SCHOOL DIST 2 <br />ZACK HAM/DYKEMAN <br />4730 COLBY AVE <br />EVERETT, WA, 98203 <br />, <br />PHONE: <br />PHONE: 4252593161 <br />TAX PARCEL ID #: 28052900303400 <br />SITE ADDRESS: 12815 19TH AVE SE <br />DESCRIPTION: 2 NEW PORTABLE CLASSROOMS <br />THIS PERMIT COVERS DRAINAGE WORK DONE IN CONJUNCTION WITH THE BUILDING PLACEMENT. <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and current City of Everett'Design and Construction Standards <br />and Specifications for Development'. <br />3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br />4. Site Civil Work to be done per plans, SWPPP, and drainage report approved by the City of Everett Public Works <br />Department dated 11/28/17. Approved plans must remain on job -site at all times. <br />5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction to set up <br />a pre -construction consultation. All inspections must be formally requested. See the attached handout for phone number <br />and online instructions to Request an Inspection. <br />6. It is the applicantlowner's responsibility to ensure that stormwater runoff from new impervious surfaces will be managed <br />on -site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements <br />and the improvements located therein. <br />Public Works Permit Fee Breakdown: DEC 2 2�1% <br />0 <br />Erosion Control ............................. ..... $50.00 <br />Misc. Minor Permits ...................:.....$25.00 <br />PW Plan Review.................................$20.00 CITY OF EVERETT <br />PW Site Inspection.............................$20.00 Permit Services <br />CityofEverett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save <br />harmless the City of Everett from any and all claims for damages, costs, <br />r / _ 2 9—1 7 expenses, or causes of action that may arise because of installation and <br />/ / <br />maintenance of the improvement or other right-of-way use here to applied <br />Approved for Construction (Public Works) Date for and f her agrees to remove same upon notice from the City and to <br />replace pu lic property damaged thereby. <br />6\_� <br />FINAL INSPECTION Date ��� q ) <br />Approved as Constructed (PW Inspector) Signat f Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETEION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />